OBJECTIVE EVIDENCE OF THE STATE OF ACQUIRED VALVE LESIONS OBTAINED WITHOUT TRAUMA BEFORE AND AFTER SURGERY*†

doi:10.1059/0003-4819-53-5-936

OBJECTIVE EVIDENCE OF THE STATE OF ACQUIRED VALVE LESIONS OBTAINED WITHOUT TRAUMA BEFORE AND AFTER SURGERY*†

WILLIAM DOCK, M.D., F.A.C.P.

Requests for reprints should be addressed to William Dock, M.D., Department of Medicine, State University of New York College of Medicine, Downstate Medical Center,
450 Clarkson Avenue, Brooklyn 3, N. Y.

Excerpt

Objective criteria of the results of therapy permitted the development of effective management for tuberculosis, pernicious anemia, diabetes and prostatic cancer, while false hopes had been aroused by enthusiasts or quacks whose claims for cures of consumption or cancer were based on the sense of well-being in their patients, with no objective evidence of control of the disease. For physicians familiar with the contrasting histories of effective management and bogus cures, it was disturbing to note the emphasis on how well patients felt after mitral valvotomy, and the absence of objective evidence of change in cardiac function in most reported

Summario in Interlingua

Catheterismo cardiac e angiocardiographia ha promovite nostre cognoscentias de acquirite morbo cardiac e le precision de nostre diagnoses, sed ille methodos non es appropriate pro le repetite studios que es necessari in evalutar le resultatos de valvulotomia. Methodos plus traditional—per exemplo phonocardiographia e kymographia a fissura—pote esser repetite sin disconforto e sin risco, e illos es ben capace a producer evidentia objective de alterationes functional. Ballistocardiographia triplanar—producente evidentia de alterationes del ejection in le grande vasos e etiam del intensitate del influxo ventricular in diastole—se ha provate de grande valor in le differentiation inter stenosis e insufficientia mitral e etiam in le demonstration de quanto frequentemente le function cardiac remane essentialmente inalterate post le fractura digital del valvula mitral. Stenosis mitral con calcification ha minus frappante clics de apertura e murmures diastolic. Iste alteration es revelate per kymographia a fissura ante que illo deveni evidente per fluoroscopia.

Article and Author Information

↵* Received for publication April 29, 1960.
From the Department of Medecine, State University of New York Downstate Medical Center, Brooklyn, N. Y.
↵† This work was supported by Grant H-1250 from the Department of Health, Education, and Welfare, Public Health Service, National Institutes of Health, Bethesda, Maryland.